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Incidence and characteristics of Traumatic Tympanic Membrane perforation

机译:外伤性鼓膜穿孔的发生特点

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Objective: To determine incidence and characteristics of traumatic Tympanic Membrane perforation in a tertiary care hospital. Methods: This descriptive cross sectional study was conducted at the Department of ENT, MTI/LRH, Peshawar from August to December 2017. After well informed consent a detailed history was taken; thorough examination of ENT was carried out. Pure Tone Audiometry (PTA) of all included patients was performed by same senior audiometrician. The data were collected on predesigned proforma and were analyzed using SPSS (16 version). Results: This study included 48 patients; Male 34, Female 14 with Male: Female ratio of 2.24:1. The mean age was 26.75 ± SD 9.88 Years. Majority of the patients (24, 50%) were in 3rd decade of life. The commonest cause of perforation of tympanic membrane was slap (35, 72.9%). Perforation of the Tympanic membrane was found more on left side (24, 50%), involving anterio-inferior site (18, 37.5%), while medium sized perforation was frequent finding (27, 56.2%).Single perforation was commonest observation (45, 93.8%), conductive hearing loss was the most common finding (38, 79.2%), and mild degree hearing loss was commonest (24, 50%). Conclusion: Traumatic tympanic membrane perforation is common in young male. Slap was the commonest cause of traumatic perforation affecting left ear more than right ear. Inferior quadrant of the tympanic membrane was commonly involved and mild degree and conductive type of hearing loss was common.
机译:目的:确定一家三级医院的创伤性鼓膜穿孔的发生率和特征。方法:该描述性横断面研究于2017年8月至2017年12月在白沙瓦的MTI / LRH ENT耳鼻喉科进行。对耳鼻喉科进行了彻底的检查。所有纳入患者的纯音听力测定(PTA)由同一位高级听力测定师进行。数据以预先设计的形式收集,并使用SPSS(16版)进行分析。结果:本研究纳入48例患者。男34,女14,男:女比例为2.24:1。平均年龄为26.75±SD 9.88岁。大多数患者(24%,50%)处于生命的第三个十年。鼓膜穿孔的最常见原因是打耳光(35,72.9%)。鼓膜的穿孔多见于左侧(24,50%),累及前下位点(18,37.5%),而中等大小的穿孔是常见的(27,56.2%),单穿孔是最常见的观察结果( 45、93.8%),传导性听力损失是最常见的发现(38、79.2%),轻度听力损失是最常见的发现(24、50%)。结论:创伤性鼓膜穿孔在年轻男性中很常见。耳lap是最常见的造成左耳穿孔的原因,而不是右耳。鼓膜下象限常受累,轻度和传导性听力损失常见。

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